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Virginia rates for HCPCS 33963

Ecmo/Ecls Repos Central Perph Cannula Birth-5yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.16 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.33 / $533.16 / $1,072.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.77 / $525.54 / $732.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.13 / $613.09 / $1,195.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.33 / $631.88 / $1,065.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.13 / $508.96 / $627.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.02 / $605.53 / $874.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.00 / $657.00 / $1,171.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.92 / $660.26 / $3,658.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.92 / $660.26 / $3,658.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.64 / $674.58 / $1,016.01